| NPI | 1194224733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1600117) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 1600117) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2023-01-11 |